Physician
South Suburban Gastroenterology, PC
South Suburban Gastroenterology, PC was paid $35K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 41% of everything it billed.
33Billing provider infoSOUTH SUBURBAN GASTROENTEROLOGY, PC
SOUTH WEYMOUTH, MA 02190
SOUTH WEYMOUTH, MA 02190
33aNPI1114948478assigned 07/22/2006
33bProvider typeGastroenterology Physician
28Total paid$35K
24GClaims835
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Gastroenterology Physician providers in Massachusetts
Rank by total paid#26 of 71
Median peer was paid$11K
This provider vs. median3.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 140 | $5K | |
| 2019 | 91 | $4K | |
| 2020 | 144 | $6K | |
| 2021 | 70 | $928.28 | |
| 2022 | 56 | $1K | |
| 2023 | 183 | $10K | |
| 2024incomplete | 151 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99222 | Initial hospital care, per day, moderate complexity | 41% | 286 | 281 | $14K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 29% | 310 | 290 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 170 | 86 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.8% | 30 | 30 | $3K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.2% | 12 | 12 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 27 | 27 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPHILLIPS, MARY (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Canadian Lakes Eyecare, P.L.L.C. | Canadian Lakes, MI | $53K |
| Weymouth Endoscopy, LLC | South Weymouth, MA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.